HomeMy WebLinkAboutS2022-0067 - Permit ApplicationWORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
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CITY OF NEWPORT BEACH W
BUILDING DIVISION r-„rv-�n�1-1—y n::: -
PLEASE PRINT OR TYPE 7-j-%lJ 41
1. PROJECT ADDRESS (NOT MAILING ADDRESS)
9 Ronsard
LEGAL DESCRIPTION
LOT BLOCK TRACT
2. DESCRIPTION OF WORK Add spa to existing pool, replaster pool, gas to fire pit ( 4
ESTIMATED $ VALUATION 24,000
SWIMMING POOL ❑ SPA ® POOL FENCING ❑ DRAINAGE
Check Appropriate box for Applicant
3. OWNER'S NAME LAST FIRST
Vashistha
ADDRESS
OWNER'S E-MAIL ADDRESS
9 Ronsard
CITY STATE ZIP
PHONE NO.
Newport Coast Ca 92657
949.667.3008
4. ENGINEER'S NAME LAST FIRST
LICENSE NO.
Thompson Matt
86051
ADDRESS
ENGINEER'S E-MAIL ADDRESS
1201 N. Tustin Ave
CITY STATE ZIPPHONE
NO.
Anaheim Ca 92807
714.630.6100
® 5. CONTRACTOR'S NAME
BUSINESS LICENSE
STATE LICENSE
Influence Outdoors Landscape
No. 1085331 classC53
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
700 N Resh St
CITY STATE ZIP
PHONE NO.
Anaheim Ca 92705
949.285.2471
:E USE ONLY
PERMIT NO.
PLAN CHECK NO.
POOL P/C FEE $
DRAINAGE P/C FEE $
Farms\Pool spa appl (red3-04).xls